Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1974
Offers telehealth
NPI: 1265417877
Practice Locations (3)
BROAD RIVER REHABILITATION
9120 WILLOW RIDGE RD
CHARLOTTE, NC 282108313
82877452220027
VIDANT MEDICAL GROUP LLC
701 DOCTORS DR, SUITE N
KINSTON, NC 285011584
2525592200
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.